HOUSE AMENDMENT
                                                   Bill No. HB 235   Barcode 672209
    Amendment No. 1a (for drafter's use only)
                            CHAMBER ACTION
              Senate                               House
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11  The Committee on Health Regulation offered the following:
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13         Amendment (with title amendment) 
14  Remove from the bill:  Everything after the enacting clause
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16  and insert in lieu thereof:  
17         Section 1.  Subsection (9) is added to section 627.419,
18  Florida Statutes, to read:
19         627.419  Construction of policies.--
20         (9)  With respect to any group or individual insurer
21  covering dental services, each claimant, or dentist acting for
22  a claimant, who has had a claim denied as not medically or
23  dentally necessary or who has had a claim payment based on an
24  alternate dental service in accordance with accepted dental
25  standards for adequate and appropriate care must be provided
26  an opportunity for an appeal to the insurer's licensed dentist
27  who is responsible for the medical necessity reviews under the
28  plan or is a member of the plan's peer review group. The
29  appeal may be by telephone, and the insurer's dentist must
30  respond within a reasonable time, not to exceed 15 business
31  days.
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    File original & 9 copies    03/27/01                          
    hcs0005                     03:57 pm         00235-hr  -672209


                                                   HOUSE AMENDMENT
                                                   Bill No. HB 235   Barcode 672209
    Amendment No. 1a (for drafter's use only)
 1         Section 2.  This act shall take effect July 1, 2001,
 2  and shall apply to policies issued or renewed after that date.
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 6  And the title is amended as follows:
 7         Remove everything before the enacting clause
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 9  and insert in lieu thereof:
10                      A bill to be entitled
11         An act relating to  dental service claim
12         denials; amending s. 627.419, F.S.; providing
13         for appeals from certain adverse
14         determinations; providing an effective date.
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    File original & 9 copies    03/27/01                          
    hcs0005                     03:57 pm         00235-hr  -672209